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Healthcare industry insights

Explore thought leadership and gain unique perspectives from experts on advancing healthcare and making the health system work better for everyone.

Latest featured insights

E-book

Health equity and women's health

Create meaningful change for the women in your workforce. Learn steps to help close the gap in health equity, improve health and lower costs.

E-book

A quarter-century of pharmacy benefit changes

Explore the dramatic changes in the years since 2000 — in drug performance and design, and especially affordability.

Article

Developing evidence-based tools for accessible and quality care

Explore how evidence-based tools like The ASAM Criteria® Navigator and InterQual® Substance Use Disorders Criteria are helping payers and providers efficiently and effectively navigate the complex substance use disorder landscape today.

On-demand webinar

Strategies for centering patients and staff

Learn how to help transform hospital revenue cycle operations with healthcare automation.

 

 

Data and analytics

All data and analytics insights

Article

Reconcile your RWD expectations to maximize your investment

Understand how routine clinical practice impacts information captured in real-world data (RWD).

On-demand webinar

Increasing potential of genomic data

Hear from experts in this Endpoints News webinar on the increasing importance of clinicogenomic data, including diverse phenotypic and genotypic profiles.

Video

Maximize Your Real-World Data Strategy

Optum Life Sciences leaders break down common missteps when using RWD and how to create practical strategies to overcome them. Watch the video from STAT Summit.

Article

What if providers’ clinical data were research-ready?

Providers collect data about patients every day. But what should they be considering — and doing — to put their clinical data to good use?

 

 

Finances and payments

All finances and payments insights

Article

Digital claim payments can save you money

Discover 4 ways health plans can save money today — and in the future — by engaging with a digital claim payment partner.

Article

Enhancing fraud investigations with AI

Learn how AI is changing the fraud case review process.

Article

The connection between money and health

The connection between money and health runs deeper than just costs — your employees rely on your benefits strategy for overall wellness.

Article

Boost efficiency with payment optimization

Learn how payment delivery optimization can improve the healthcare financial cycle and bridge the gap between payers and providers.

 

 

Mental health

All mental health insights

White paper

Support state Medicaid goals members

Find out how a person-centered approach can help.

Video

Supporting the unique needs of firefighters

When the Minnesota Fire Service needed emotional well-being support for their firefighters, Optum stepped in to help.

Article

How to build a mobile crisis team

Learn more about the current research on mobile crisis teams (MCTs), how to build an MCT as well as envision a future for them.

White paper

Addressing social determinants of health

Create solutions to eliminate barriers to care and support members.

 

 

Patient and member engagement

All patient and member engagement insights

Article

Teaming up with task force movement

Learn how Optum Serve is helping to advance the health and well-being of Veterans and spouses in the trucking and cybersecurity workforce.

Guide

Telephone Lifestyle Coaching for Veterans

Learn how Optum Serve helped Veterans achieve health and wellness goals, promoted well-being, prevented illness and reduced the burden of chronic conditions.

White paper

Supporting Veteran truckers

Learn how Optum Serve supports Veterans through a whole-health approach to work and life.

Article

The high price we pay when seniors lack access to health care

Challenges around affordability and access to quality health care are far more prevalent than one might think. In fact, about half of Medicare Advantage members live on an annual income of less than $25,000.

 

 

Pharmacy care

All pharmacy care insights

Video

Delivering a deeper connection to infusion care

Our infusion care ecosystem is based on a commitment to clinical innovation and providing consistent, convenient and compassionate care.

Article

Defining the future of alternate-site infusion pharmacy care

Optum tackles the many issues infusion pharmacy care faces as it serves vulnerable patients with acute needs and complex conditions.

White paper

Addressing extreme cost and lack of catheter lock options in the U.S.

Learn about the impact on catheter lock therapy for home infusion patients with a central venous access device (CVAD).

Article

Specialty Pharmacy 101

Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.

 

 

Pharmacy management

All pharmacy management insights

Article

The big picture on pharmacy

Meet Dr. Wig, Chief Clinical Officer for Optum Rx, and hear how we’re addressing cost and clinical trends in pharmacy.

Infographic

A new way to treat acute pain

A long-sought non-opioid painkiller has arrived. But will the benefits outweigh the cost?

Report

Better drugs? Maybe. Higher cost? Definitely.

New drugs for myasthenia gravis and hereditary angioedema will be easier to take, more effective, and add competition.

Article

What to expect from pharmaceutical tariffs

New tariffs on imported drugs are expected soon, which could mean higher prices and potential shortages.

 

 

Technology and automations

All technology and automation insights

Case study

A case study on Excel Medical Center

Using digital integration to ease administrative burdens can help you spend more time with patients and deliver positive patient outcomes.

White paper

Volume 1: Better financial health and improved operations

Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.

Case study

Improving CDI efficiency

See how Lima Memorial improved efficiency with advanced technology.

On-demand webinar

Focus on patients, not paperwork

Watch the webinar to learn actionable strategies on tackling decreased hospital margins, increased labor costs and staffing shortages.

 

 

Value-based care

All value-based care insights

Article

How patient-first care helps women with cancer

A growing number of women are navigating cancer care. Targeted supports can make a difference in patient experience, outcomes and costs.

Article

Hub and advocacy solutions work together

Navigating a complex healthcare environment is challenging. Using hub and advocacy solutions together helps employers and employees alike. 

E-book

Revolutionizing specialty medication management

Get an in-depth assessment of the ways Specialty Fusion™ is revolutionizing specialty drug management.

E-book

Slowing specialty pharmacy carve out stampede

Discover specialty medication management strategies to help you slow carve-out and stop member attrition.

 

 

All healthcare industry insights

The challenge of managing rising neonatal costs

NICU-related claims are becoming more costly. For payers, a comprehensive benefit management strategy, including focused claims review, is crucial.

The big picture on pharmacy

Meet Dr. Wig, Chief Clinical Officer for Optum Rx, and hear how we’re addressing cost and clinical trends in pharmacy.

Payer-provider interoperability to enhance prospective risk management

Payers and providers are using advanced technology in healthcare to create efficient processes that capture chronic conditions and deliver better health outcomes .

How patient-first care helps women with cancer

A growing number of women are navigating cancer care. Targeted supports can make a difference in patient experience, outcomes and costs.

The state of value-based care in 2025: Growth and challenges

Unpack the state of VBC in early 2025 and see where it’s going next. Learn how specialty care will fit into the future VBC landscape.

Best practices for efficient medical record retrieval

Medical record retrieval is an essential task for healthcare providers and insurers, but it can often be a complex and time-consuming process.

Digital MSK tools: 5 important features

Digital MSK can improve outcomes while reducing costs. Learn how payers and employers can choose a program that delivers on health benefits and savings.

Extracting value-based care insights from claims data

Actionable insights for health plans and providers to adopt a data-driven approach and achieve value-based care goals.

Maximizing CareSelect Imaging for value-based care

Discover how to transform your approach to clinical decision-making and advance your organization’s value-based care goals.

How organizations can support neurodiversity in the workplace

Recognizing the unique perspectives of neurodivergent individuals and creating an inclusive workplace can enrich and empower your teams.

Patient education: The secret to success in risk adjustment and VBC

Effective patient education fosters adherence to medical treatments and promotes healthy patient behaviors, in turn facilitating successful risk adjustment and value-based care.

AI advancements bridge the gap to dual eligibility enrollment

See how AI-powered technology and personalized member engagement are helping to identify and enroll more members into Medicaid programs.

Streamline clinical value analysis processes in a growing surgical market

Access resources on how to reduce surgical costs for your health system.

Can a holistic approach help with UM challenges?

Learn how acute care organizations can address UM challenges with a holistic, comprehensive approach.

Innovations in contact center efficiency

Hear from our experts as they discuss the role of AI and other trends in a well-connected system.

Viewpoints on the 2026 CMS Final Rate Announcement

Learn how the 6 key final changes may impact your organization in 2026.

A new way to treat acute pain

A long-sought non-opioid painkiller has arrived. But will the benefits outweigh the cost?

The high price we pay when seniors lack access to health care

Challenges around affordability and access to quality health care are far more prevalent than one might think. In fact, about half of Medicare Advantage members live on an annual income of less than $25,000.

How cloud-native PACS transformed a rural hospital

In this case study, learn how cloud-native technology can unlock efficiency.

Better drugs? Maybe. Higher cost? Definitely.

New drugs for myasthenia gravis and hereditary angioedema will be easier to take, more effective, and add competition.

How Medicare Advantage leaders can thrive in the D-SNP market

We discuss the growth potential and the imperative for integrated care coordination and enhanced benefits for the dual-eligible population.

What to expect from pharmaceutical tariffs

New tariffs on imported drugs are expected soon, which could mean higher prices and potential shortages.

How do pharmacy benefit managers work?

Hear how PBMs negotiate to deliver the lowest possible cost, benefiting plan sponsors and members alike.

The role of imaging decision support in VBC

See how tools like CareSelect® Imaging can help providers enhance clinical decision-making, improve patient outcomes and reduce administrative burden.

3 key steps to building an effective annual wellness visit program

Empowering growth through Working Capital

Discover how partnering with Optum Financial can help providers overcome industry challenges and expand services.

Transforming care through payer-provider collaboration

Discover the key elements to creating a positive, mutually beneficial relationship.

Increasing potential of genomic data

Hear from experts in this Endpoints News webinar on the increasing importance of clinicogenomic data, including diverse phenotypic and genotypic profiles.

Maximize Your Real-World Data Strategy

Optum Life Sciences leaders break down common missteps when using RWD and how to create practical strategies to overcome them. Watch the video from STAT Summit.

What if providers’ clinical data were research-ready?

Providers collect data about patients every day. But what should they be considering — and doing — to put their clinical data to good use?

Teaming up with task force movement

Learn how Optum Serve is helping to advance the health and well-being of Veterans and spouses in the trucking and cybersecurity workforce.

Utilize technology to harness disparate data

Invest in long-term fraud prevention.

Partnering to reduce fraud, waste and abuse

We partner with federal agencies to address challenges and support their unique needs through technologies, solutions and best practices.

States achieve health equity with actionable analytics

By applying analytics solutions, states can create a comprehensive roadmap to better health equity.

Lowering cardiovascular disease risk

An innovative program involving patient awareness and provider outreach improves patient use of lipid-lowering therapies.

A case study on Excel Medical Center

Using digital integration to ease administrative burdens can help you spend more time with patients and deliver positive patient outcomes.

Digital claim payments can save you money

Discover 4 ways health plans can save money today — and in the future — by engaging with a digital claim payment partner.

Taking aim at the U.S. maternal mental health crisis

New and expectant mothers are facing an epidemic. Here’s what they need, not only to withstand pregnancy and early parenthood but to thrive.

Human-centered design in healthcare

This Optum white paper shows how human-centered design builds technology and programs that are easy and intuitive for consumers to use.

Identifying patients' bone fracture risk

Optum Life Sciences experts used real-world data to assist in the testing of an algorithm designed to assess for osteoporosis risk.

Expanding health equity in clinical trials

Jamie Freedman, MD, PhD, and Shalini Mohan, MD, discuss challenging assumptions about expanding diversity and representation in clinical trials.

Break down silos in clinical trial design

Clinical trial protocol design and feasibility often occur in silos. Learn how to make the overall trial design process more effective with RWD and other tools.

Using the right tools to approach RWD

RWD pitfalls part 1: When working with real-world data, learn from the lessons of others to help maximize your own business return.

Health Equity Vision into Action Report

Learn how identifying and addressing disparities in healthcare allows everyone to live their healthiest life.

Deliver program integrity efficiencies

We help federal agencies with an effective data strategy and analytic roadmap to predict and prevent fraud, waste and abuse.

Real-world data centralized teams

Expanding the use of RWD requires expertise and leadership. Learn how to maximize the success of a centralized RWD team.

NLP methods for RWD insights

Natural language processing (NLP) systems allow us to draw insights from billions of unstructured medical notes. Learn more about our methodology.

4 ways small biopharma can harness RWD

Small and emerging biopharma companies are already having an impact on the industry. Learn how RWD can enhance the ability to innovate.

Integrated RWD: The key to accelerating innovation

To maximize the value of clinical innovations, you need dimensional, robust data. Learn about leveraging integrated cost and clinical data.

Volume 1: Better financial health and improved operations

Read the white paper for strategies on controlling fixed costs, efficiency and organizational flexibility.

Addressing pharmacy issues that matter to you

From specialty pharmacy to drug affordability, our experts tackle your biggest pharmacy challenges.

Telephone Lifestyle Coaching for Veterans

Learn how Optum Serve helped Veterans achieve health and wellness goals, promoted well-being, prevented illness and reduced the burden of chronic conditions.

Supporting Veteran truckers

Learn how Optum Serve supports Veterans through a whole-health approach to work and life.

Evidence-based clinical practice guidelines for DoD and VA

Improve continuity of care by reducing variation in practice for service members transitioning to Veteran status.

Improving CDI efficiency

See how Lima Memorial improved efficiency with advanced technology.

Online scheduling covid 19 vaccinations

Learn how Southwest Medical Associates (SMA) used the Optum platform to automate vaccine scheduling and reminders for both shots at once.

Focus on patients, not paperwork

Watch the webinar to learn actionable strategies on tackling decreased hospital margins, increased labor costs and staffing shortages.

Consumer care preferences survey

Optum surveyed more than 1,200 consumers to understand their experiences when accessing care. Download this e-book to read our findings.

Provider telehealth use experience survey

Learn the telehealth features and frustrations providers say impact their virtual care experiences.

Promises and pitfalls: AI and clinical decision-making

Learn more about why evidence-based criteria and clinician insight are needed for informed and trustworthy decisions while leveraging AI.

Solve contract challenges for gene therapies

Gene therapies have the potential to be transformative, but there are hurdles to overcome for value-based contracts to become widespread.

Remove roadblocks to behavioral health

Enhance patient access to mental health services online.

Digital scheduling at a rural health system

Learn how a rural health system achieved an ideal patient experience and increased bookings with digital scheduling.

Addressing challenges with CDI and coding

Read the success story to hear how Optum technology helped increase John Muir Health's monthly CDI case review average by 22%.

US military entrance processing command

Optum Serve conducts physical and mental examinations for military applicants.

Leveraging data-driven heat maps

The Optum network gives transparency to customized potential connections, helping boost revenue.

Strengthen ED visit-level determinations with these key elements

Learn how to strengthen your ED visit-level determinations, and identify areas for improvement.

Payer channel scheduling St. Luke's case study

St. Luke’s Health dramatically increased volumes and decreased costly no-shows with Optum digital scheduling. Learn how your health system can, too.

Financial case connected care

Get thought starters for assessing how a connected care model can strengthen your financial position.

The Physician Liaison Outreach Playbook

Learn how proactive planning is the key to successful physician-to-physician marketing.

The ASAM Criteria® Navigator, 4th edition

Learn how to streamline efficiency and consistency of the utilization review process.

Five step InterQual evidence-based development process

The InterQual Criteria is developed through a rigorous, five-step process by our clinical development team.

Applying robotic process automation compliance

See how robotic process automation (RPA) helped saved 9,465 hours and $950,000 over five years in our client use case example.

Improve efficiency with Optum CAC and CDI 3D

See how one health system partnered with Optum to transform their coding and CDI program.

Self scheduling boosts access

Learn how ProHealth Physicians used self-guided online scheduling to ease administrative burden and rebound patient volume after COVID-19.

Real-world data fills rare disease data gaps

Read how you can fill the data divide to develop effective treatment options.

Assess drug performance with integrated data

Explore real-world use cases to see how integrated data empowers research and commercial teams to compete in today’s crowded market.

Help your bottom line through UM optimization

An efficient utilization management (UM) program is a must to deliver high-quality patient care while managing costs.

Race ethnicity data bridge gap in health equity

The life sciences industry needs robust real-world data. For that data to reflect real-world populations, you need race and ethnicity data.

Solving clinical trial recruitment challenges

Watch clinical trial leaders from Optum and Biogen discuss how to address trial recruitment struggles by unlocking real-world data (RWD).

Is your real world data research ready

Real-world data can help evaluate the effectiveness of medications and therapies, which is why evaluation should be part of the investment.

Developing a best-in-class middle revenue cycle for hospitals

Explore the six focus areas for improving performance to create a best-in-class middle revenue cycle for your hospital.

Physician outreach toolkit

Get tools for applying data-driven outreach to develop a successful growth strategy.

Enhancing fraud investigations with AI

Learn how AI is changing the fraud case review process.

Improved Arkansas Medicaid Outcomes

Optum has completed more than 200K+ assessments in Arkansas, helping coordinate care for people with chronic, high-cost and long-term care needs.

Clinical exchange eprescribe self service tool speeds enrollment

Healthcare systems need new systems to better facilitate enrollment despite staffing shortfalls.

Patient engagement leader

Everest Group recognizes Optum in its 2023 Patient Engagement Platforms PEAK Matrix® Assessment.

Using epidemiological data build public confidence

See how the FDA and Optum use real-world evidence to monitor the safety and effectiveness of COVID-19 vaccines in our youngest populations.

Virtual urgent care scheduling for telehealth

Optum Patient Access and Engagement connects consumers to virtual urgent care through a national telehealth platform.

How Optum supports value-based goals with powerful products

See how Optum’s products help hospitals succeed with value-based contracts, earning appropriate incentives and avoiding penalties.

Webinar: Trends and challenges in telehealth

Explore new ways of doing business that allow you to meet shifting customer expectations, workforce challenges and emerging business goals.

The connection between money and health

The connection between money and health runs deeper than just costs — your employees rely on your benefits strategy for overall wellness.

Innovative approaches to collaborate with PCPs

Understanding the challenges confronting Medicare Advantage plans and their Medical Loss Ratio.

Filling revenue cycle resource shortfalls

Learn how to identify and overcome common revenue cycle challenges despite current labor market issues.

Smart revenue cycle investments

These two targeted investments will strengthen your revenue performance more than deep cost cutting.

Create a best-in-class front-end revenue cycle

Learn six ways to take your operations from good to great.

Develop your growth strategy

Optum Market Advantage helps you choose your own path forward.

Toward outcomes-based payments

Learn from industry leaders about the push to generate evidence and demonstrate healthcare provider value.

Support risk adjustment with CDI technology

Clinical documentation integrity programs are expanding to support risk adjustment initiatives. Integrated CDI technologies are needed to support revenue and integrity.

Decrease denials strategy

Understanding the reasons for your claim denials is the first step to preventing them from happening in the future.

A/R recovery services provide continuity

Provider maintains A/R revenue continuity during HIS conversion.

Digital front door strategy improves patient experience

Discover how a digital patient engagement strategy can provide easier access, reduce cancellations, and enhance front-end collections.

Optum wins 2023 enabling technology leadership award

Optum won the 2023 North American Enabling Technology Leadership Award. 

Get competitive with CDI and coding analytics

Watch the demo to learn how our analytics platform provides custom, value-added reports with the data insights you want.

Exploring possibilities cdi metrics

Watch the panel-style webinar with Banner Health CDI and analytics leaders to discuss business intelligence analytics and health information management.

Behavioral health provider digital access survey

Get insights on how patients access and schedule mental health services online in this e-book, based on original research by Optum.

Benefits of artificial intelligence reach the revenue cycle

The use of NLP makes the revenue cycle work smarter, not harder.

Using clinical intelligence for revenue cycle

Our white paper shows how investing in smart technologies, such as clinical intelligence, supports the revenue cycle from patient registration through full reimbursement.

Is poor market visibility compromising your growth?

Optum offers an infographic to help hospitals better understand true growth potential and the potential impact of physician outreach.

Boost efficiency with payment optimization

Learn how payment delivery optimization can improve the healthcare financial cycle and bridge the gap between payers and providers.

How the revenue cycle and leaders are evolving

Find out how to shift your revenue cycle left, focusing on front-end revenue cycle management (RCM) capabilities.

Latest takes in-life sciences industry

Discover what’s on the minds of innovative life science leaders with thought -provoking insights and discussions.

Denials index

Learn about the latest trends in medical claim denials and find out how to decrease them.

Maintain operational and financial viability

Read this white paper to learn strategies that can help critical access and independent hospitals remain viable in their communities.

Patient access to gene therapies for rare disorders

Optum Life Sciences experts discuss value-based contracts at the 5th Annual Gene Therapy for Rare Disorders Conference.

The keys to revenue cycle transformation

Gain expert insights into strategies to decrease costs, unlock new sources of growth and improve patient experiences.

Improving SGLT2i therapy guideline adherence

A manufacturer worked with Optum Life Sciences to help increase guideline adherence for patients with diabetes and cardiovascular disease.

10 hurdles to reimbursement

Focus on the specific hurdles that hinder your claims and cause most of your denials. We'll walk you through how to clear each obstacle.

Choosing an accounts receivable partner

Selecting a strategic accounts receivable partner requires careful evaluation.

Buck denial trends

Learn about the latest national denial trends to help you avoid rework and future denials.

Easier access to mental health services

Learn how Refresh Mental Health used online scheduling to simplify consumer access to mental health care.

Reducing administrative variation with artificial intelligence

Infuse technology into your medical necessity process.

Take action maximize impact real world data

We design programs between life sciences companies, payers, providers and patients to improve care and patient and provider satisfaction.

Insights in claims payment processing

Thinking about going paperless for claims payments? We commissioned a study of senior health plan executives to hear what’s on their minds.

Analytics answer compliant coverage identification

Using advanced analytics and rich data resources can help boost providers’ ability to screen the self-pay patient.

Tips for selecting a fit for purpose data set

Using real-world data (RWD) that are not fit for purpose can waste time and money. Review 6 simple steps to guide your research towards the right data.

Causes of medical necessity denials

Learn two critical indicators causing these denials, and how to account for them effectively.

Health leaders share IT transformation stories

Hear John Muir Health and Bassett Health’s observations on digital transformation, modernizing infrastructure and strategic automation.

Informing FDA best initiative

As a key FDA collaborator, Optum Epidemiology generates reproducible results that inform regulatory decisions for COVID-19 vaccines.

How to maximize ROI real world data

Optum experts give a snapshot of commonly encountered pitfalls when using RWD and recommendations to help avoid them in this PMSA webinar.

Closing the diagnosis gap in CKD

Most people with chronic kidney disease (CKD) don’t know they have the condition. These payer strategies can help turn the tide.

Tackle the workforce crisis with human innovation

Explore human-focused innovations for solving healthcare workforce challenges while reaping benefits for all.

Supporting providers in the transition to VBC

Learn how value-based care (VBC) partnerships between payers and providers are more important than ever.

Health equity in kidney disease management

Learn 5 strategies for health plans to address inequities in the kidney care landscape and create more equitable access, treatment and outcomes for all.

NEJM Catalyst Q&A: Value-based care

Dr. Wyatt Decker discusses the path forward for value-based care, including implementation challenges, benefits and keys to success.

Addressing the Root Causes of Mental Health Disparities

Discover steps and strategies to reduce disparities among vulnerable populations and remove barriers for more equitable mental health care.

Using data to monitor behavioral health services

See how Optum helped one state visualize utilization and demographic data around ‌behavioral health programs.

Strong financial future through partnership

See how Boulder Community Health partnered with Optum to continue to successfully fund its mission.

Analytics in payer-oncologist partnerships

See 4 ways that payers can help healthcare providers unlock the power of real-world data to drive quality and innovation in cancer care.

Mental health: Optum addresses the great information divide

Explore the challenges and opportunities in using mental health data to understand prevalence, risk, impact and treatment in patients, members and communities.

7 strategies for meeting more mental health needs

Discover how to create an interconnected network of services that help people get properly diagnosed, access support and sustain progress.

The 6 trends shaping pharma strategies in 2024

Life sciences market experts from Optum and Advisory Board share perspectives on trends that will influence the future drug value chain.

6 workforce strategies for healthcare leaders

Strengthen and inspire your healthcare workforce. Our actionable toolkit offers new strategies to reconnect with talent, simplify workflows and more.

Forging a new frontier in mental and behavioral health

Overcome today's barriers with leadership, collaboration and investment strategies that proactively address mental and behavioral health.

Ways digital movement reshaping member experiences

As digital fitness, physical therapy and virtual musculoskeletal care surge in popularity, they’re yielding benefits for health plans and members alike.

Impacting SDOH for patients and communities

CNO Kristy Duffey discusses the benefits of home-based care, opportunities in value-based care and how digital tools can overcome barriers.

Connected communities

A panel discussion examines how to use data-driven, virtual and automated technologies to advance and refine population health strategies.

Managing risk in value-based care delivery

Watch as Erik Johnson explores models for risk in delivering value-based care (VBC).

Fitness for a generation that never gets old

With baby boomers rapidly aging into Medicare, health plans must take an informed approach when marketing fitness benefits. Here’s how.

Catalyze the use of RWE in life sciences

Discover how using real-world evidence (RWE) in the life sciences industry can help catapult learning and drive impact for your company.

What employers should know about a hub benefits strategy

A fresh approach to benefits is easing leaders’ administrative burden and connecting employees to better care.

Connected care

See the whole picture for whole-person health.

Achieving health equity: Strategies for payers

Learn more about a comprehensive solution for health payers to address health disparities and achieve health equity.

Making risk adjustment programs work

Learn how three care delivery organizations reduced administrative burden to spend more time with patients and improve outcomes.

Global Nurse Advice Line

We support mission-critical programs for federal health agencies.

Bassett Healthcare network blazes bold path forward

Optum helped Bassett achieve independence and financial resilience while maintaining outstanding care delivery. See how the partnership came together.

Bassett Healthcare partnering insights

Tommy Ibrahim, MD, CEO of Bassett Healthcare Network, shares insights on reinventing a health system for success.

Automate fraud waste abuse improve program integrity

Learn how artificial intelligence (AI) and natural language processing (NLP) can help federal agencies improve program integrity, cut costs and deter fraud.

Boulder Community Health and Optum

Optum partnership insights and strategies enable near- and long-term success for provider organizations.

Best practices for identifying overpayments

Learn how a multi-tiered approach to data mining helps maximize savings and achieve payment accuracy earlier in the claim lifecycle.

Robotic process automation (RPA)

We utilize RPA to advance federal government programs.

Achieve claim pricing accuracy and efficiency

Learn how to create a framework that drives payment accuracy on the first pass.

New billing system improves financial performance

Radiology Associates of Nevada made a smooth transition to Optum as its new billing vendor. This significantly improved its financial performance.

Visualizing fraud, waste and abuse

Graph analytics and machine learning drive the future of program integrity.

Claim review: How to adopt best practices

Learn how a comprehensive claim review strategy can help you stop repeat errors and increase payment accuracy across the claim lifecycle.

Staying current in your core admin platform

Get current, stay current and leverage the newest platform capabilities with ongoing release management.

Redefining the prior authorization process

Learn how we are revamping the prescribing process.

Best practices for reducing provider abrasion

Find out what is driving abrasion and what health plans can do to alleviate pain points.

Pharmacy benefit managers add value lower costs

PBMs don’t cause high drug costs — they’re part of the solution. Our drug prices beat the “low cost” vendors.

Optimizing your payment integrity program

Learn best practices to help health plans achieve in-year cost-saving goals.

Moving to lower cost electronic payments

Partner with Optum Financial to increase ACH payments.

8 ways to make drugs more affordable

Discover what plan sponsors need to know to help remove or limit cost as a barrier to medication access.

Validating short-stay hospital bills

Prevent inpatient billing errors for outpatient encounters.

StepWise Application Migration to the Cloud

Learn from health plan leaders on how to accelerate and optimize your cloud-adoption journey.

Automation and workforce strategies in healthcare

Get 6 key takeaways from a C-suite panel discussion.

Viewpoints on the 2025 CMS Advance Notice

Don't miss this exclusive webinar and the chance to learn how your Medicare Advantage plan can better prepare for the 2025 changes.

The dangers of polypharmacy

Millions of workers at risk due to overprescribed drugs.

Pharmacy Insights Podcast

Listen to our resident experts discuss critical industry challenges and the solutions you need to control rising drug costs.

Drug pricing spotlight: Wound care

Combat against brand name products costing 125 times more.

Imaging, data reporting and the cardiology user experience

How can cardiovascular imaging departments leverage user experience design to address the challenges of fragmented data?

How Cardiology IT solutions can solve workflow issues

Learn how new reporting features within cardiology IT solutions helped one medical center build an innovative user experience and workflow.

Shift-of-site care is a win for women

With unique needs, women benefit greatly from a wider array of care options. Payers and employers can reap big rewards by providing them.

Using behavioral science to inform hemodynamics product design

Learn how behavioral science can improve the hemodynamics solution in vital ways for physicians and technicians.

How health data can improve msk care

Here’s how payers can harness the power of data to bring more effective — and timely — musculoskeletal (MSK) care to their members.

Guidance along fertility journey

Discover how health plans can set aside ad hoc solutions and adopt a comprehensive approach to improve health outcomes and accessibility of fertility care.

Collaborating to advance maternal health

Learn how leaders, communities and institutions can work with Optum to promote safe pregnancies and childbirth.

Wellbeing shifts with meaningful impact

Results from the 8th annual Wellbeing in the Workplace study from Optum highlight how over 400 global employers are winning at wellness.

Structured cardiovascular reporting

Learn how structured cardiovascular reporting can reduce late charges.

Understanding the benefits of single-database cardiology

Learn about our single-database cardiology solution that integrates with your EHR and VNA to help create a complete, unified cardiovascular record.

Reimagine your employee assistance program

Help employees feel mentally, physically and financially well with Emotional Wellbeing Solutions.

Designing cardiac training programs through innovation

Learn how we’re training the next generation of cardiac clinicians with advanced technology.

The benefits of cardiovascular structured reporting

Discover the key features of cardiovascular structured reporting that drive adoption, EHR integration and customization.

Future ready claims review automation not enough

As claims grow more complex, many automation methods aren't sophisticated enough for the job. See how payers can take claims review to the next level.

Inventory management solutions made simple

Discover inventory management solutions that guide the decision-making process for efficiency gains, better practices, cost savings and safer care delivery.

How employers can make better benefits decisions

Assessing vendors is daunting enough. But for many employers, limited data, contract variations and employee confusion add complexity.

Case study: Investing in employees' success

Tailored financial wellbeing support eases employee stress and boosts productivity for global telecommunications company.

Mitigating maternal care deserts

For some mothers-to-be, healthcare options are disturbingly limited — or even nonexistent.

Targeted care, lower costs

One state achieved both aims in delivering home health services.

Elevating employee engagement

Data-driven, targeted strategies help successfully increase employee use of mental health, financial and legal services.

Optimize member engagement through collaboration

A health plan increased in-home assessment rates for their Medicare Advantage members by working with Optum to increase member engagement.

Addressing high-cost of musculoskeletal care deferral

With musculoskeletal (MSK) incidence rates and costs rising, connecting members with the care they need is more urgent than ever.

Success stories in connected care

See how health organizations are creating new ways to deliver care.

How to implement patient-centered oncology care

Patient-focused care is becoming the highest aspiration in cancer care. Here’s what payers should know to embrace this beneficial approach.

Making cardiovascular data work for the future

What can technology leaders do today to facilitate future advancements in cardiovascular data and analytics?

A single database cardiology platform that drives efficient workflow

Read our case study.

Kidney care breakthroughs: What payers should know

Explore the most promising innovations in renal care for people with chronic kidney disease.

Five ways to improve your cardiovascular workflow

Learn how to improve productivity with a workflow solution that innovates in five key areas.

Enhance system security with cloud-native imaging solutions

Learn about the in-depth security capabilities of cloud-native imaging.

Driven to bring care to those in need

Optum Nevada’s mobile medical clinic helps promote health and break down transportation barriers for patients in Nevada.

Breast density: Research for Radiologists

New research on breast density is changing the way radiologists approach mammography.

Addressing burnout with cloud PACS solutions

Health care leaders share how cloud-native solutions can help ease risks and improve efficiency for radiologists.

Improve physician practice revenue

Learn key strategies to strengthen the financial performance of your physician practice.

Migrate your enterprise imaging to the cloud

Watch our webinar on migrating your enterprise imaging to the cloud.

Generating new data voice to claim research

Using our Voice-to-Claim® methodology to better understand the attitudes and behaviors of patients and physicians and their effects on cost and utilization.

Understanding artificial intelligence for radiologists

Learn why implementing artificial intelligence in the radiology department shouldn't lead to panic.

Doubling down on the cloud

Learn how technology is advancing imaging workforce challenges and revenue.

MIPS program recommendations physicians

Traditional MIPS plans concluded in 2023. Understand MIPS reporting types and get help navigating the changes.

Four ways to strengthen your practice

Strategies to help provider groups maintain independence, support long-term stability and drive success.

How VBC can work for manufacturers

Value-based contracts can present challenges that must be overcome to bring gene therapies to market.

Cloud-based upgrades

Learn how cloud-based imaging solutions can speed upgrades and reduce maintenance.

Change Healthcare Stratus Imaging Share

Learn how much you could save by eliminating CD burning.

Optimizing physician reimbursement

Learn how physician groups can leverage automation and incorporate advanced analytics to help ensure they’re collecting every dollar.

Are employees checked out mentally present

Keys to investing in wellbeing programs that meet employees where they are and offering solutions for everyday life.

Determining treatment safety for pregnancy and infants

Studying the impact of treatments on pregnancy and infants can help patients, providers and pharmaceutical companies make key decisions.

Supporting employee wellbeing after a loss

Learn how Optum helped a member find support after a loss.

Hospital employed anesthesiologists and RCM

Dive deeper into the market shift transforming the modern anesthesia employment market.

New dimensions in life sciences research

Proving the impact on clinical outcomes as well as costs.

Working together to help end the opioid epidemic

Opioids are powerful drugs with a high risk of misuse and dependence. A comprehensive solution can help address this complex problem.

Cyberthreat webinar

Learn practical steps you can take to safeguard your enterprise imaging data.

State M&O innovations: Robotics process automation

Robotics process automation can improve maintenance and operations of state Medicaid systems.

The costs and benefits of cloud-based imaging

Understand the seen and unseen costs of migrating your enterprise imaging to the cloud.

Costs for unrecognized kidney disease

A new study published by The American Journal of Managed Care highlights health care costs associated with unrecognized progression to late-stage kidney disease.

Navigating growth in the healthcare industry

Learn how to overcome challenges and achieve scalability with your medical practice.

Find immediate ROI with cloud-native enterprise imaging

Learn how artificial intelligence (AI) can support patient care, improve workflows and more.

3 pillars of physician revenue cycle management

How cultivating a combination of people, processes and technology is a critical driver of RCM success.

Optum Serve: Protecting taxpayer dollars

Eliminate fraud, waste and abuse in healthcare spending.

Insomnia treatment research study

Optum combined real-world data and primary research to create better understanding of insomnia and help create new treatments.

The No Surprises Act

Get an overview of the Act with recommendations for physician practices.

Monitoring COVID-19 vaccine safety

Discover insights from Dr. John Seeger’s recent participation at the Duke-Margolis Thirteenth Annual Sentinel Initiative Public Workshop.

Move your enterprise imaging to the cloud

Learn how to highlight the immediate cost and efficiency gains of cloud adoption.

The unifying power of integrated data

Read how the integration of EHR and claims data can change what we can collectively learn about outcomes.

Cancer costs are rising — are you ready?

As experts forecast a steep climb in already-expensive oncology costs, payers must prepare for the big changes ahead.

Optum, FDA collaborate on vaccine and biologic research

FDA reaches agreement with life sciences segment of Optum to provide data and expertise to evaluate and research biologics and vaccines.

Senior brain health and social interaction

Medicare Advantage plans can differentiate supplementary programs by addressing cognitive health and social interaction.

Payer-provider collaboration in ESRD care

Kidney disease is complex and disproportionately impacts people with limited financial resources. Here’s how payers can help transform care.

Revolutionizing cardiology

Discover how Boulder Community Health and Optum Advisory worked together to achieve smart growth and sustainable change.

Improve members' health with Optum HouseCalls

Medicare Advantage members receiving in-home assessments saw fewer emergency department visits and inpatient hospital stays across 4 conditions.

Top stakeholder questions to consider

Ask your life sciences stakeholders what they need early on. Consider these top questions that patients, providers, payers and regulators are looking to answer.

What to know about managing rising transplant costs

What payers need to know about transplants and other high-cost care.

How to achieve more inclusive MSK care

Musculoskeletal conditions are costly, common and fraught with health inequities. Here’s how a more holistic approach can help.

Extending an independent lifestyle for seniors

The Optum differentiator helps communities attract and retain residents.

Address health equity barriers in cancer care

Discover the 5 pillars of equity-driven member navigation.

Payers address family building inequities

Read how payers can turn the tide on 5 worrisome statistics.

The HouseCalls difference: Kim's story

Kim, a HouseCalls advanced clinician practitioner, believes a good day is when she’s helped someone. Watch the video to see her story.

Preemptive kidney transplants

Avoiding dialysis in favor of organ transplant can yield better patient outcomes and lower healthcare costs. So why is it still uncommon?

More inclusive MSK care: How can employers help?

Discover what employers can do to support all employees who may be coping with costly and common musculoskeletal conditions.

Delivering on promise of fertility care

As a highly specialized area of care, fertility treatment is a significant cost driver for health plans and employers.

Improving underwriting results with automation

Machine learning coupled with software features and cost-tuning delivered significantly improved predictive value and underwriting results.

Care Pathways study

Mental health specialists serve a critical role in reducing total cost of care for plan sponsors.

6 thoughts: Shipping refrigerated medications

See how temperature-sensitive medications are protected in transit with Optum Rx.

Women's health: Susan's story

Learn how OB Homecare and advanced analytics can help manage at-risk pregnancies.

Maternal and infant health insights

Optum Advisory uncovers disparities in maternal and infant outcomes — commercial vs. Medicaid — identifying key factors.

Fitness needs across generations

Fitness needs vary across generations. Here’s how to make sure your offerings are serving each age bracket.

Improve fertility treatment efficiencies and outcomes

Whether for personal or professional reasons, many couples today are delaying starting a family. However, waiting to conceive can lead to fertility issues — for one partner or both.

NASPO ValuePoint streamlines procurement

Streamline enrollment and admin activities with the Optum Provider Services Module, a self-service gateway for Medicaid providers and agency staff.

Increasing at-home dialysis for ESRD patients

See why home-dialysis patients tend to fare better than in-clinic patients, and how patient-centric kidney care management helps them make informed choices.

Emotional wellbeing solutions for health care workers

Support healthcare workers, who put others first every day.

Things to know about new landscape fertility benefits

More and more, benefits leaders see the value of reproductive health — and it’s changing how they approach offerings. Here are 5 things to know.

Emotional wellbeing support

Help your workforce take charge of their health, so they can be more resilient and present every day.

How holistic programs improve senior health

Medicare Advantage plans need to rise above the competition by going beyond traditional fitness offerings.

Challenges when financing your EHR

Key themes and insights that can guide your organization toward a successful electronic health record (EHR) transformation.

Youth mental health research findings

In our new report, you'll learn key findings about the mental health needs of young people and their caregivers, and discover opportunities for intervention.

Stay current on core claims systems releases

Stay current on core claims systems releases See how upgrade as a service from Optum helps health plans stay up-to-date on admin and core claims platform releases.

Address the complexity of the claims process

Read the interview for insights into how state leaders can reduce administrative cost and support collaboration with providers.

Five priorities improve financial performance

This E-book will help you master five fundamentals for a sound financial future.

Helping emergency services practice streamline accounting

A busy emergency services practice gets help to ensure its financial health and allow physicians more time and confidence to do their jobs.

Key considerations when updating provider management modules

Explore 6 key factors when updating, streamlining and coordinating provider management modules with other Medicaid functions.

Strategies for incremental modernization

States can build on a step-by-step approach to modernization, incrementally transforming the user experience without disruption.

Opening digital doors for all consumers

Digital gateways are the new social determinant of health. Read this strategy guide on expanding access and health equity.

Clinical Exchange Orders and Results tool

Streamline the implementation process of healthcare lab operations and enhance enrollment control with our self-service tool.

The fight for techquity

Get ideas for how to fundamentally change your approach to building technology and incorporate techquity into your organization.

Anesthesiology group improves rcm physician practices

How one anesthesiology medical group increased profitability, efficiency and stability with physician group management services from Optum.

Call centers and AI technology

Transform state contact centers into 24/7 problem solvers.

Emergency department performance metrics

Learn about the key metrics that should be monitored within your emergency department to improve financial performance and optimize efficiency.

Five things your denial rate isn't telling you

Learn 5 ways to make changes that will prevent and remediate denied claims.

Speed up the claims process with AI

Read about our Claims Automated Rules Engine (CARE).

Modernize your revenue cycle workforce

New staffing challenges require new approaches. Learn how to optimize your workforce to increase productivity and retention.

Provider report cards help emergency medicine groups

Learn more about how provider report cards can help emergency medicine groups thrive.

The benefits of outsourcing medical billing

Discover a step-by-step strategy for gaining administrative buy-in.

Building a connected care model

People feel the disconnect of a siloed healthcare system. Get insights on how to build more holistic care through connected care models.

Health equity and women's health

Create meaningful change for the women in your workforce. Learn steps to help close the gap in health equity, improve health and lower costs.

The impact of in-home health assessments

Learn about the benefits of HouseCalls assessments with these 5 fast facts.

Closing gaps in pain management

More than half of nursing home residents suffer from chronic pain. Read the white paper to learn how we can make a difference in their lives.

HouseCalls: Fewer ED visits, hospital stays

A Yale Medicine study shows how in-home health assessments can help Medicare Advantage members get the care they need.

2024 Annual Healthcare Trends Report

Get expert analysis for C-suite healthcare leaders on the forces driving change. Explore challenges, what to watch and how to move forward.

Reimagining senior care to meet changing demands

Learn about the holistic care that Medicare Advantage Plans can offer your residents. Plans with the Optum Care Model are available.

Establish renewed priority on revenue loss

In volume 2 of this white paper, discover 3 strategies to improve revenue performance from proper levels of reimbursement to writing off bad debt and expanding into new service areas.

Boulder community health partners employee success

Explore how Boulder Community Health partnered with Optum to continue elevating its most critical component of success — its workforce.

Fire department boost collections forty percent

Our case study shows how the Cincinnati Fire Department recovered missing revenue with Optum billing and collection systems.

Navigating the pandemic

Learn how Optum revenue cycle management services helped Santa Fe Pathology Services maintain financial stability throughout the COVID-19 crisis and position the practice for growth.

How AI accelerates workflows and patient cancer care

Discover the potential of AI and how it helps save thousands of lives each year.

Business intelligence delivers financial insights lab

Learn how BI can improve operational performance, provide access to key financial indicators and support compliance.

5 provider strategies to improve margins

Discover how healthcare organizations are prioritizing a path to improved financial sustainability and margins.

Strategies to reduce administrative costs

Strategies to fix payer-provider collaboration, streamline patient financial experience and apply AI technologies for better cost savings.

Improve medicaid risk adjustment accuracy

Explore Medicaid best practices for health plans and learn three actions to take and when to take them.

Improving UR effectiveness with Case Advisor

Learn how Optum helped Regional One Health alleviate staffing pressure, multiply the value to the organization and raise its credibility among physicians.

Electronic Health Records (EHR): Implement and Operate

Maximize your EHR investment through partnership.

The impact of CAPs on Stars ratings

Learn more about the impact and implications of a Corrective Action Plan and how Stars and these corrective actions are interconnected.

Clinical exchange eprescribe enhances care delivery

Streamline workflow and increase accuracy with Clinical Exchange ePrescribe and Surescripts Real-Time Prescription Benefits.

Value assessment frameworks

This interview with Jason Spangler, MD, MPH, FACPM, is part of the "Let's Talk" conversation series.

How health equity can be a catalyst for growth

Providing better care for the underserved is vital for healthier communities. It can also be a wise strategy to unlock organizational growth.

HouseCalls: Helping to care for members where they are

As demand for home and community care grows, Optum® HouseCalls can reach your Medicare Advantage members and assess members’ health needs.

Why quality fitness benefits are crucial for employers

Whether you offer exercise classes, fitness equipment or nutritious snacks, investing in your employees’ movement and health will always be smart.

Defragment care with in-home assessments

In-home assessments can help to improve mental health and other social determinants for seniors. Read about the HouseCalls approach.

Symmetry EBM Connect

Increasing compliance with evidence-based standards to enhance care.

Orphan drug market: Rare diseases, large costs

Orphan drugs offer hope to people with rare diseases. They also add large costs. Our Orphan Drug Program is a targeted strategy to help control costs.

Aligning with CMS: Medicare Content Navigator and InterQual Transparency

Discover how to meet the latest regulatory requirements for Medicare Advantage plans.

Critical steps to navigating change management

See how an effective change management strategy can help people adapt to change more quickly and nimbly.

Precision medicine trends: A conversation with Chris Boone, PhD

AbbVie Vice President Chris Boone discusses what the life sciences industry can do to realize precision medicine’s full potential.

Symmetry Oncology Analytics

Learn about powerful tools to measure the cost and quality of cancer care.

Antiracism and inclusion

Optum saw the value in a project for a community cohort, Leadership for Racial Equity, and quickly worked to create a national strategy.

Arkansas' new approach to Medicaid management

See how data and analytics help Arkansas manage one of the state's most vital and widely used government programs.

We follow the science and defend against bias

See how Optum follows the science where it leads, validating the research we find to uphold the clinical integrity of InterQual content.

Using clinicogenomics to advance research

Rich, longitudinal clinicogenomics data can fuel all stages of drug development.

Cost breakthroughs in complex care management

Not every complex care management program is built equally. Here's how to optimize them for maximum benefits.

Workplace fitness benefits: What to know

Employers must adjust their fitness programs to meet employees' evolving fitness needs. Here’s how to bring your offerings into the new era.

New mandatory CMS reporting rules will impact states

To meet the requirements, states should consider focusing on five key areas.

Digital equity across the healthcare system

Remove gaps and improve digital access for everyone.

Optimizing UM with InterQual AutoReview

An Optum expert explains how hospital systems can transform their UM programs and drive efficiency with InterQual AutoReview.

Regulations to watch: Spring 2024

Get the latest on legislation impacting PBM operations.

The benefits of microservice imaging architecture

Our cloud-native solutions use dynamic load balancing to optimize resource use across all applications.

2024 Stars preview: A path forward

Perform key actions to manage your Stars performance with a focus on member engagement. Learn how to take control of your Star ratings now.

9 ways to modernize the Medicaid experience

Read our 9 key takeaways for states to modernize the provider management experience.

3 ways to beat vaccine fatigue

Learn about researched vaccine messaging themes and important steps you can take to promote critical vaccinations for members.

2023 3rd Annual C-suite Research Report

How are market dynamics impacting decision-making across healthcare? Research report examines progress, challenges and priorities in 2023.

How to make most of your fitness benefits

Get a step-by-step guide for employers to maximize ROI, design the best offering and keep their workforce engaged in essential offerings.

Improve women's health with community-based solutions

Research shows that community-based care is an effective way to lessen the negative effects of social factors that can heavily influence health outcomes.

Modernizing the Medicaid experience

How can states and providers use modularity to modernize? Dustin Haisler at GovTech.com interviews Optum product leaders for insights.

How states can serve members more holistically

Lori Halpern and Dennis Vaughan discuss interoperability, helping communities address the growing mental health crisis and new ways of delivering care.

Preserving talent and enabling career growth insights

The Optum Market Performance Partnership is designed to help health systems achieve strategic, operational outcomes while preserving talent.

Trends and perspectives for health plans

Together, we are driving toward the same things for our healthcare system — better quality, lower cost and higher consumer and provider satisfaction.

Innovation help healthcare workforce crisis

Harvard Business Review Analytic Services and Optum leaders examine human-focused innovations for the health care workforce.

Value dex z codes

Optum and Palmetto experts partner in discussing how to solve genetic lab challenges in legacy solutions.

Enterprise imaging cloud strategy webinar

Learn about the differences between “cloud-based” and “cloud-native” image hosting.

"No regret" IT investments

Learn which tech investments can benefit providers most today.

Improve price transparency

Deliver a better patient experience through price transparency.

Youth-centered mental health

Find new ways to address youth mental health and how health care leaders and communities can come together to achieve long-lasting impact.

Fighting breast cancer with early detection

Early detection is critical to fighting breast cancer; advances in technology are helping.

NEJM Catalyst Q&A: Care delivery innovation

Optum Health CEO discusses care delivery innovation within value-based care and the role of alignment, partnership and analytics.

Outsourcing medicaid eligibility enrollment

Discover how one client outsourced Medicaid eligibility and enrollment to drive patient satisfaction and higher reimbursement levels.

RCM services allow laboratory navigate difficult waters

Learn how Optum implemented comprehensive revenue cycle management procedures to help Meridian Laboratory Physicians bill for clinical pathology, increase reimbursement and support practice growth.

Healthier outcomes for moms and babies

By using enterprise data to reach out to women earlier in pregnancy, one state is supporting moms and babies and creating healthier outcomes for both with help from Optum.

Path to techquity

New research explores how to use technology to advance health equity.

Creating a health equity strategy

Watch this 15-minute Q&A on building a health equity strategy. Explore the role of partnerships and how to make a sustainable impact.

Supporting care for at-risk minors

Learn about a lightweight, scalable foster-family placement system developed for one Northeastern state.

Can automation cure workforce challenges

Rethink how to support workers, while simplifying and improving care.

What if pragmatic clinical trials were more practical

Pragmatic trials look increasingly attractive to researchers, but they’re tough to execute. Learn how to simplify the process.

Key learnings for modernizing your state’s legacy system

Dr. Garry Choy, CMO, discusses the pros and cons of using automation and clinical decision support to meet today’s workforce challenges.

Reducing avoidable Medicaid claims denials

In this GovTech.com interview with John Campbell of Optum State Government Solutions, see how the right technology can modernize the claims process.

Why you should prioritize digital payments

Digital payment processing doesn’t have to be a daunting task. Here's why it should be at the top of your priority list.

Wellbeing in the Workplace Study

Explore the latest insights and trends shaping workplace wellbeing from our global employer survey.

The road to modernization: What’s next for your contact center?

Today’s constituents and stakeholders expect to interact with state agencies quickly, effortlessly and through their preferred communication channel.

What Gen Z wants in employer fitness benefits

The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.

The latest PBM regulations: Summer 2024

Get your guide to the evolving health care regulatory landscape and see what’s coming as lawmakers debate 600+ new bills impacting PBMs.

Specialty drugs: Not just set and forget?

For optimizing specialty drug therapy, monitoring patients throughout their care is key to cost-effective use of high-cost drugs.

Taking the paper out of member communications

Discover how digital communications can increase member engagement and lower the cost of care.

New innovative treatments for hemophilia B, RSV and COPD

Cutting-edge research in gene therapy, mRNA editing and blood enzymes pays off with powerful new advances for these drug classes.

Top 4 drug spend categories

Many patients combined with expensive drugs leads to top spending classes.

Navigating the challenges of outpatient evaluation for patients with acute coronary syndrome

Learn how the InterQual level of care team tackled a content development challenge following updated societal guidelines for acute coronary syndrome.

Patient engagement platform checkboxes

Learn how a platform that covers the full patient journey, from scheduling care to payment and follow-up, can streamline operations and costs.

Market for patient engagement webinar

View the public launch of Optum Patient Access and Engagement on demand.

Partnering to close gaps in maternal health

Learn how we can collaborate with your state to use analytics and consulting to address your most important maternal health challenges.

How CAPs directly impact your Stars performance

Stars performance is in your control. Learn how you can take action now.

Transforming CDI and coding with advanced analytics

Banner Health partnered with Optum to pair AI-powered technology with advanced analytics, enabling an expanded focus on quality and risk-adjustment initiatives.

Best practices utilization review

Learn best practices of utilization review to help your health system maintain clinical, compliance and revenue integrity.

Evidence in Action newsletter

Our quarterly e-newsletter helps you stay up to date with current issues facing life sciences leaders and the role of real-world evidence.

Middle RCM tech

Artificial intelligence (AI) and automation are having a major impact on improving the middle RCM for healthcare providers.

Trends for health plan quality performance

Learn how health plans can stay ahead of the curve and prepare for key trends likely to impact their quality programs in 2025 and beyond.

How to ease the emotional toll of caregiving for members

Learn how plan sponsors can support caregivers and their loved ones' mental health with resources and tools.

Diagnosis and care recommendations for rare congenital anomaly

Rigorous work-up leads to conservative CHD (congenital heart disease) treatment approach.

Utilizing patient access contact center

See how a hospital streamlined scheduling for about 700 providers and strengthened customer service for over 65,000 patient calls monthly.

Holistic msk improves care

Our holistic approach can help payers better fight against rising musculoskeletal care costs while better serving members.

Asia pacific culture of health

By engaging region-specific expertise, your company can strategically improve the well-being of its employees.

Drive wellbeing programme utilisation

Strengthen your international wellbeing programme with an integrated health promotion specialist.

Bring wellness strategy to life

Discover how partnering with a health promotion specialist can help you unlock creative ways to engage your employees with wellness programs and initiatives.

Reimagining fraud prevention

Find out how modernization of emergency relief programs can detect and prevent fraud.

Hub and advocacy solutions work together

Navigating a complex healthcare environment is challenging. Using hub and advocacy solutions together helps employers and employees alike. 

Improving hospital quality and utilization

Learn how data insights helped 4 organizations transform their operations.

Coding audits: Why and how to do them

Discover how regular coding audits can streamline audit and compliance efforts, boost hospital reimbursements, and improve patient financial experiences.

Design an exceptional physician review strategy

Optimize your physician review process to help save time, reduce costs and improve care quality.

The Health Equity Alignment Solution (HEALS)

HEALS is a data analytics solution that highlights where and how inequities occur within a community, state or a health plan’s member population.

Consumer centric health care research report

Examine the acceleration toward consumer-centric care with insights and perspective from healthcare leaders.

Enterprise transformation services

Health systems continue to face many challenges. Do you have the flexibility and focus to deliver on strategic goals or transform your business?

The new digital landscape

Explore the 5 key components of a good digital health care experience to meet rising consumer expectations.

Streamline Medicaid eligibility and enrollment processes

The rise of healthcare consumerism has prompted many hospitals and health systems to rethink their patient satisfaction strategies.

How to manage organ transplant costs

There’s a lot at stake with organ transplant claims. Learn the importance of selecting an effective payment integrity approach.

Get immediate savings on specialty drugs

Specialty drug spend is a “top threat” to employer-provided benefits. Discover sustainable savings with your existing Optum Rx plan.

Avoid surprises in pharmacy spend

Old strategies and new challenges don’t mix. Future-proof your plan and get better predictability with new pricing models and risk management tools.

Building the PBM of the future

The solutions plan sponsors need today to tackle the pharmacy challenges of tomorrow.

Advanced Pharmacy Audit Services

See how a health plan used advanced audit services to prevent and detect pharmacy fraud, saving over $1 million.

Fighting fraud how plan sponsor recovered funds

How one plan sponsor recovered $315,000 in six months.

Empowering clients with choice and transparency

Helping make prescription drugs more affordable for plan sponsors and the members we serve is a universal focus.

Smart formulary management

Develop and manage formularies that bring clinical and financial value.

4 myths: Carving out specialty pharmacy

Integrating specialty pharmacy means better care, lower costs.

Biosimilars to save billions in this decade

Prices for popular brand-name biologics drop up to 60% with generic-equivalent biosimilars.

3 ways to deal with escalating drug costs

Explore innovations custom built for today’s specialty challenges.

A young patient’s hemophilia story

See how Optum Rx helped change a patient’s life with access to life-altering medicines.

3 steps to slash medication costs

This is your employer guide to reducing your healthcare spending.

Winter: First big drugs of 2024

New treatments for NASH, schizophrenia and more are on the way.

What makes a meaningful health advocacy program?

A great health advocacy program helps employees get the most out of their benefits while fostering strong health outcomes and savings.

Establishing trust to improve value-based care outcomes

Gain insights into how supporting providers can help increase engagement and reduce administration burden for better patient care.

Make your pharmacy benefit plan work better

Learn 4 key questions you should be asking.

Gene therapies: Can we afford the future of medicine?

Learn how to manage financial risk as gene therapies become more commonplace.

How to contain GLP-1 costs

Get strategies for handling the new anti-obesity medications.

Alternative funding: Real savings or problems?

See how much "free" drugs will actually cost you.

Creating connections through partnership

Hear from an Optum Rx client on how we're partnering together for everyone we serve.

The secret to lowering the total cost of care

Rising pharmacy costs concern everyone. Managing the underlying health conditions behind each prescription is key to addressing these high costs.

Optum Rx customer obsession

Watch how one Optum Rx employee made the system work better for everyone.

How to manage blockbuster anti-obesity drugs

The pricey weight management drugs work well, but users need coaching and support to maintain the benefits.

4 key forces shaping the future of pharmacy

These emerging trends will help define the road ahead.

How to eliminate prescription waste

Achieve savings by targeting expensive, low-value drugs.

How to manage medication overload

Hear from a leader's perspective on how to manage polypharmacy.

Alzheimer's treatment: Time for a level-set?

See success rates, risks and costs of the new Alzheimer’s treatments.

A seamless pharmacy benefit change?

We guarantee it. And it's easier than you think.

The new drugs plan sponsors need to watch for

See which trends to consider when assessing the pharmacy benefit, which new drugs may be flying under the radar and what's coming.

Orphan drugs market: Can we afford them?

We examine key questions around orphan drugs such as why they're so expensive, how they're being used and what plan sponsors should do next.

Maximize digital mammography reading efficiency

Learn how an all-in-one workstation for mammography and radiology increased study volume and accelerated turnaround.

Access point-of-care ultrasound imaging data

Discover how centrally stored point-of-care ultrasound images can help your organization increase efficiency and improve revenue.

Strategic planning for imaging in the cloud

Learn what health IT and imaging leaders need to do before moving their enterprise medical imaging to the cloud.

Reduce risk and capture lost revenue

Learn how Change Healthcare Imaging Actionable Findings can help, solve complex care needs.

Improve your radiology performance

Learn how Change Healthcare Radiology Solutions™ 14.2.1 can help your department improve diagnostic confidence.

Explore our AI-enabled radiology portfolio

Learn how our Radiology Solutions use AI to rapidly identify relevant radiology images.

Intelligent workflow case study

Learn how intelligent workflow can help improve efficiency and patient care.

Change Healthcare Workflow Intelligence

Learn about our vendor neutral, flexible medical imaging workflow rules engine.

Re-examining radiology with Optum

Explore the transformative changes happening in the field of radiology and their impact on advancing healthcare.

Using the cloud for medical imaging

Learn how to unlock the power of cloud migration in your medical imaging.

The AI technology transforming imaging

Learn how artificial intelligence (AI) can support patient care, improve workflows and more.

The role of AI in enterprise imaging

Learn how AI is being used to improve imaging workflow management and help care providers collaborate more efficiently.

AI-powered study prioritization

Read our case study.

The value of clinical notes

What more is there to the patient story? Get deeper data insight into patient-clinician interactions with de-identified clinical notes.

Why workforce wellness programs must reward more than health tasks

To ensure that well-being benefits drive results, employers must let go of strategies built around one-and-done health tasks. Here’s how.

When chronic conditions and behavioral health collide

The collision of chronic conditions and behavioral health challenges can’t always be stopped, but healthcare leaders can work to mitigate its impact.

Developing evidence-based tools for accessible and quality care

Explore how evidence-based tools like The ASAM Criteria® Navigator and InterQual® Substance Use Disorders Criteria are helping payers and providers efficiently and effectively navigate the complex substance use disorder landscape today.

4 shifts shaping the future of oncology

An evolution in cancer prevention and treatment promises to forge a new path for patients, physicians and health plans alike.

Addressing the loneliness epidemic and cognitive decline in seniors

To tackle this problem, payers need to take a holistic approach to delivering connection while addressing seniors’ mental and physical needs.

Pharmacy legislative rules fall 2024

An assessment of the latest rules impacting PBMs from state and federal legislation.

How payers can improve maternal care in the 4th trimester

Learn how payers can drive meaningful impact through preconception care, postpartum coaching and managing chronic conditions early.

Adventist West’s success through redesigning and automating UM

Discover how to leverage automation for centralized, exception-based utilization management.

How to transform imaging with behavioral science

Behavioral science is being applied to unique methods of enterprise imaging product design.

Building a better oncology managed care program

New cancer treatments can transform patients’ lives — but they also create costs that demand a new kind of cancer guidance program.

New treatments for rare and common conditions

Our report emphasizes new, next-gen and first-in-class treatments for cystic fibrosis, non-opioid treatment and GLP-1 drugs.

Transform underwriting technology

Automation, technology and scalable staffing drive growth. 

Revolutionizing specialty medication management

Get an in-depth assessment of the ways Specialty Fusion™ is revolutionizing specialty drug management.

Advancing dme benefits management

Learn how DME Navigator can help streamline durable medical equipment (DME) benefits management. 

Star ratings are important to Medicare plans

Learn how health plans can improve Star ratings through high-touch strategies.

Rethinking the healthcare payment process

Explore ways to create a more seamless and transparent payment experience for healthcare consumers.

Engage providers impact member outcomes

Download our infographic to learn how Optum can take the burden off payers to impact provider performance.

Improving performance at Excel Medical Center

Empower provider success and improve member care through digital integration.

Spend more time with members

See how prospective assessment programs can reduce administrative burden. Physicians spend less time on paperwork, so they can focus on what matters most: member care.

4 steps to optimizing value-based care

Learn how combining these steps can help power a holistic workflow between payers and care delivery.

Proactively renew dual eligibles for Medicaid

Learn how Optum uses AI, state-specific logic and robust workflows to help with proactive dual eligible Medicaid renewals.

Risk adjustment Star ratings success

Discover 5 strategies that will help your health plan be prepared to factor risk adjustment data into Star Ratings.

Improve provider engagement mobile query

Respond to query opportunities in real time and get access to clinical and coding decision-making information with our secure mobile app.

Driving healthcare innovation

Matthew Kinney, growth and innovation leader at Optum, describes how to create holistic strategies for meaningful impact.

Reassessing the Inflation Reduction Act with real-world evidence

Cut through the noise of the Inflation Reduction Act of 2022 with key points aimed to help life sciences leaders leverage impactful data.

Addressing social determinants of health

Create solutions to eliminate barriers to care and support members.

Support state Medicaid goals members

Find out how a person-centered approach can help.

Combating the opioid epidemic

Medication interventions save lives — more people need access to them.

Understanding students' mental health needs

Read about the realities of campus behavioral healthcare and how we can make things better for college students.

When healthcare works better for everyone

See how building an outcomes-based model for behavioral healthcare can benefit both clinicians and patients.

Personalized support for members with autism

Optum is breaking barriers in supporting members and families who are diagnosed with autism spectrum disorder (ASD).

Support for substance use disorders

Expand access to evidence-based support to help individuals achieve stabilization and sustain recovery.

Supporting the unique needs of firefighters

When the Minnesota Fire Service needed emotional well-being support for their firefighters, Optum stepped in to help.

Behavioral healthcare made better

We help people find care and support that’s easy to understand and access.

Helping members achieve goals

See how the right mental healthcare makes a difference.

Help members access behavioral health care

Guide members to quality, affordable behavioral health care.

Strategies for centering patients and staff

Learn how to help transform hospital revenue cycle operations with healthcare automation.

Supporting women beyond the reproductive years

Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.

Insights on GLP-1s: Costs and coverage

Balancing the risks and the benefits of GLP-1 drugs.

Biosimilars: Hard to make but lower costs

Biosimilars compete with expensive biologic drugs by offering the same safety and effectiveness, but at a lower cost.

Transparency helps medicaid providers

See how technology can be used to reduce complexity, administrative rework and improper claims denials. 

Debunking revenue cycle myths: The path to financial health

Discover how partnering with a managed services partner can help improve financial operations.

New options to treat schizophrenia, COPD

A clever combination drug offers new help for schizophrenia with reduced side effects, while Dupixent expands its footprint to COPD.

CMS quality measure rules 2024

Upcoming changes in federal quality measures for Medicaid and CHIP will impact state governments.

SDOH solutions: Transforming health care for all

Learn from experts how to transform health care by addressing the social and economic factors that impact health outcomes.

SDOH solutions: Improving population health outcomes

See how to use technology to understand and implement effective health interventions.

Everest Group guide to selecting RCM services

Buyer’s guide helps hospital leaders evaluate and select RCM services partners with the future in mind.

Achieving equitable care: The shift to race-neutral equations

Discover how the InterQual team facilitated the timely adoption of new industry guidance for promoting health equity in clinical practice.

Unlock clinical insights with NLP technology

Learn about natural language processing (NLP) challenges and opportunities in the real-world data (RWD) space from Optum® NLP experts.

Viewpoints on the 2025 CMS Final Notice

Download this executive summary to learn how these changes may affect your Medicare Advantage plan.

5 questions on health equity

Creating better health care access for all is a priority.

The state of pharmacy regulations

In this conversation, learn the implications of new pharmacy legislation and rulemaking, and how you can manage your benefits effectively.

Aging workforce and the impact on drug spend

An estimated 23% of the workforce will be over age 65 by 2050 – but what does that mean for my drug plan?

Interqual autoreview efficient proactive

A cloud-based solution designed to increase utilization management efficiency and review accuracy.

Automating the prior authorization process

Discover our latest innovation to the PA process — PreCheck Prior Authorization — which reduces approval times, appeals and denials.

How to push back on 3 key pharmacy headwinds

Innovative formulary structures and clinical programs can help plan sponsors meet the challenge of expensive orphan, biologic and GLP-1 drugs.

Automating success revenue cycle transformation

Set the foundation for synchronized and connected revenue cycle management.

2024 in review

Another busy year in pharmacy is coming. Read about top stories in GLP-1s, biosimilars, top spend classes, key regulations and innovations.

Health plans system modernization

Learn how technology and infrastructure investments enable growth and help with evolving regulatory requirements and increasing competition.

Key new drugs help close out 2024

New biologics for breast cancer, hemophilia, and a rare form of heart disease are poised to add competition and choice in these classes.

DC maternal health homelessness

Learn about our collaborative approach to promoting maternal health in Washington, D.C., with a focus on homelessness and perinatal care.

Automate your front office to address the staff pinch

Learn how automating appointment scheduling, eligibility verification and communications, and more eases pressure on staff.

Driving innovation with new revenue cycle services

One organization decreased uncompensated care, increased loyalty and patient satisfaction, and connected patients with more funding sources.

Safeguard the mental health of content moderators

Learn how we support the unique workplace needs of content moderators with a tailored wellbeing strategy.

Social Care Assistance helps member assessment

Optum helps health plans address member needs through screening and community-based organization (CBO) referral services.

Continuous insurance coverage discovery

Learn how our two-stage approach to eligibility coverage links pre- and post-service analysis in near real time.

Revenue cycle ripple effect

Streamline your patient experience, enhance satisfaction, reduce costs and improve your financial performance with our digital tools.

The importance of workforce mental health maintenance

See how employee mental health benefits are evolving to support workforce wellbeing.

How to build a mobile crisis team

Learn more about the current research on mobile crisis teams (MCTs), how to build an MCT as well as envision a future for them.

Viewpoints on the 2026 CMS Advance Notice

Go inside the latest changes to the 2026 program.

Optum Recognized as RCM Leader Report

Optum is honored to be recognized as a Leader in the Everest Group RCM Platforms PEAK Matrix Assessment for 2025, highlighting our comprehensive RCM solutions.

An Employee Benefits Strategy that Balances Cost and Care

Learn how to develop an efficient benefits strategy that helps your people be well — while balancing your budget and achieving value.

Packaging your employee benefits experience

Use best practices to build a gift-wrapped benefits experience that engages your people and optimizes your employees’ well-being.

Exploring the health savings pathways series

A 3-part series to help guide your employee benefits strategy, balance care costs and enhance employee well-being.

Improving the provider experience

Learn about a modern and proactive approach to payment integrity for health plans.

Discover 8 capabilities to power your EHR

Learn how Optum solutions can enhance your EHR for better patient engagement and financial data integrity.

Alma simplifies access to in-network mental health providers with digital self-scheduling

Learn how Alma partnered with Optum to offer frictionless patient access to care through digital-first channels.

C-suite Insights

Explore actionable resources for healthcare executives including peer-to-peer insights, dialogue, perspectives and analysis.

Preparing your plan for the GLP-1 era

After revolutionizing care for diabetes and weight loss, GLP-1 drugs are being eyed for more. Can we afford it?

2023 trends shaping life sciences strategies

Life sciences market experts from Optum and Advisory Board offer their bold predictions and insights in 2023 for the industry.

HouseCalls: Reach members where they are

Help manage members’ health through in-home or virtual assessments.

Benefit communication strategy use case: Engage employees with personalization

Learn how personalized employee communications can help meet benefit strategy objectives

The heart behind the business

People are at the heart of all we do at Optum. Meet the people behind the business at Optum and learn why they put you at the center of everything we do.

Guide to 5 types of vendors and partners

Advisory Board experts describe types of nonclinical partners and vendors, their benefits and their use cases.

Slowing specialty pharmacy carve out stampede

Discover specialty medication management strategies to help you slow carve-out and stop member attrition.

How AI is delivering efficiencies for radiologists

Learn how AI solutions can boost your organization’s return on investment (ROI).

Time to outsource workers compensation payments

Learn how outsourcing payments could help you stay competitive and compliant.

Impacting provider engagement

Step into the shoes of Richard Solomon, a Health Care Advocate, who goes above and beyond to support providers in risk adjustment programs.

The role of navigation to simplify health care

An active approach to advocacy can help improve member experiences while driving down costs. Read our e-book to learn how.

Reduce claim errors with front-end RCM solutions

Cut down on claim mistakes by collecting accurate data and refining your workflows.

Which growth strategy path is right for you?

Discover which growth strategy path is right for your health system.

Reexamine the effect of the Inflation Reduction Act

Learn how real-world data and evidence can help prepare you for healthcare-related Inflation Reduction Act policies.

Supporting members through life’s challenges

See how mental health support from Optum helped a member navigate grief.

Challenges and opportunities with clinicogenomic data

Genomic data linked to the longitudinal health record hold great insight. How should researchers think about and use these powerful data?

Are your pharmacy benefits working hard enough?

Pharmacy benefits should be transparent, affordable and easy to use. Get clear on your pharmacy benefit manager’s value with these 3 questions.

Women’s health is more than reproductive care

Discover 5 areas of focus for payers and employers looking to improve women’s health outcomes, costs and member satisfaction.

Making informed care decisions with accessible health plan data

Learn about a health plan STAR ratings tool that provides residents with clear, interactive comparisons of health plans.

Digital integration and the path to interoperability

Creating a connected system to improve risk and quality outcomes.

Social determinants of health in urban America

Learn more about addressing social determinants of health in Brooklyn, NY.

How small and emerging biopharma can generate real-world evidence

Here are questions small and emerging biopharma need to ask to generate meaningful evidence and be competitive.

A quarter-century of pharmacy benefit changes

Explore the dramatic changes in the years since 2000 — in drug performance and design, and especially affordability.

RCM essentials for 2025

From process re-design to automation with advanced technology, learn how healthcare finance leaders optimize their RCM operations for the future.

Advancing infection prevention in senior communities

Discover proactive practices for protecting residents from both the common and the unexpected.

Reduce the risks of polypharmacy in nursing homes

Learn 5 tips for effective deprescribing to improve resident quality of life.

How senior care facilities can elevate dementia care

Learn how multi-layered, proactive interventions can help reduce hospitalizations.

How real-world evidence can inform pharma strategies in 2025

Health economics and outcomes research (HEOR) can play a key role in helping the life sciences industry improve patient outcomes.

Transform your pharmacy benefits with end-to-end transparency

Pharmacy benefits should be clear and simple. Are they? In this latest e-book, see how true transparency drives better outcomes.

New pharmacy benefit solutions to help bend the cost curve

In this conversation, get a peek into upcoming solutions and technologies designed to address high-cost medications.

Making inroads with maternal health

Learn how Indiana and Washington, D.C., are tackling critical maternal health equity disparities.

Integrated risk and quality programs: A strategic approach

Unlock new efficiencies with a digital-first, AI-powered approach to empower value-based care and enhance health plan performance.

Innovating risk adjustment strategies

Read this blog to learn how Renown Medical Group empowers clinicians and improves patient outcomes.

Help enhance coding accuracy with the HCC Tearsheet 2025

Accurate HCC codes are essential for effective care management and compliance.

The future of quality reporting

Learn how AI, interoperability and ECDS are transforming healthcare quality reporting and the solutions that can help you stay ahead.

Small price hikes make for big drug prices

We know about the high prices for new drugs, but drug companies make most of their money from repeated small price increases on older drugs.

Meet consumer expectations while addressing provider frustrations

Learn how Patient Access and Engagement streamlines the end-to-end care journey.

Survey: How Healthcare Costs Can Influence the Patient Journey

Regulations to watch: Spring 2025

Learn what’s at stake for pharmacy benefits sponsors as federal oversight changes and state legislative sessions begin.

5 things a claims review program does that you might not realize

Learn more about how an all-in, centralized claims review can contain costs while boosting consumer and provider experiences.

See how an Optum care coordinator works

Supporting care, reducing stress, and serving as a point-of-contact are just a few of the benefits care coordinators offer.

The foundational forces affecting pharma today and beyond

Learn about the 3 key trends manufacturers should consider when planning for 2025 from Advisory Board and Optum Life Sciences experts.

RCM essentials for 2025 and beyond

Learn how digital and self-service strategies can help improve patient experience and financial outcomes.

Bridge the payment gap between payers and providers

Our innovative healthcare payment delivery platform simplifies processes, saves time and lowers costs for all involved.

Is your pharmacy benefit manager delivering value?

Learn 4 key questions you should be asking.

Navigating the future of addiction treatment with The ASAM Criteria® Fourth Edition

Explore the development of The ASAM Criteria® Fourth Edition and discover tools and programs available to support your transition.

Advancing clinical access to whole genome sequencing

Learn how Optum and Illumina are working together to help patients with genetic testing for rare diseases.

Health loyalty rewards programs

Learn how employers can tap best practices to ensure their health rewards and loyalty programs make a meaningful difference.

Navigating the two-midnight rule in the Medicare Advantage world

Watch this on-demand webinar to hear top insights and an analysis of the latest trends impacting the utilization management function since the latest changes became effective.

Delivering a deeper connection to infusion care

Our infusion care ecosystem is based on a commitment to clinical innovation and providing consistent, convenient and compassionate care.

Specialty Pharmacy 101

Specialty pharmacies deliver high-touch services to help patients stay adherent to treatment plans and live healthier lives.

New hope for neurological conditions

Learn how a holistic model enhances multiple sclerosis care.

Defining the future of alternate-site infusion pharmacy care

Optum tackles the many issues infusion pharmacy care faces as it serves vulnerable patients with acute needs and complex conditions.

Specialty vs. retail pharmacy

Specialty medications require high-touch support. Learn more about what sets specialty pharmacy apart from retail.

Outlook on oncology 2024

See how emerging trends, including a global pandemic, are reshaping the landscape of oncology care and medication.

Quick and safe digital specialty pharmacy service

Optum Specialty Pharmacy leverages specialized expertise and resources with flexibility, delivering personalized care that drives better outcomes.

Supporting family mental health

See how the Child and Family Behavioral Coaching program helped a family find support for their child’s ADHD.

How payers can prepare for the next wave of cellular therapy patients

CAR T-cell therapies have been remarkably successful and may become more widely available. Here’s how to get ready for a rise in these expensive treatments.

Rising expectations among health care consumers

Learn about the growing expectations people have for their healthcare experience and how to improve the consumer journey.

Reduce length of stay and enhance resource efficiency

Learn more about how Optum Enterprise Intelligence Suite (EIS) enables best practices for achieving operational excellence.

Improve well-being engagement and usage

Learn 5 critical factors that can help you successfully engage employees in your wellness strategy.

What real-world data can reveal about weight loss medications

Optum Life Sciences expert provides insights on how manufacturers can build value stories for their stakeholders.

Fecal transplant to treat recurrent urinary tract infection

Learn how leveraging a microbiome approach helped one patient with von Willebrand disease and multiple antibiotic allergies.

Access to mental health care within 48 hours

Optum expands care options while reducing crisis events and costs.

Site-of-care: A longitudinal review

Gain insights into the site-of-care landscape, what market data reveals and how outmigration could affect your hospital.

Optimize employee benefits with healthcare analytics

With the right tools, employers can transform employee benefits data into actionable insights that drive better experiences and add value.

Tailoring Medicare plans for specific populations

Learn some of the best practices and strategies for serving your members effectively through special needs planning and beyond.

How our medication packaging helps the planet

Our eco-friendly, fully sustainable prescription packaging eliminates polystyrene and reduces CO2, water and plastic waste.

Helping a member find support

See how one mother found in-the-moment support during a family crisis.

A new standard for objective frailty criteria

Learn how the InterQual® team developed objective frailty criteria through a process that ensured clinically applicable content.

What is a copay card? Making sense of copayments in healthcare

Learn how drug maker copay cards can disrupt your benefit strategy and how the suite of Optum Rx Copay Card Solutions can help.

Understanding the transition to cloud-native imaging

Imaging center uses cloud-native technology to future-proof operations.

Unblocking the digital access journey

View this infographic to learn how to create a friction-free patient access journey.

Payer-provider collaboration: Improving patient outcomes

Tech and value-based care can improve payer-provider collaboration, reduce admin burden and enhance patient outcomes through data sharing.

Going Beyond Risk Adjustment in Provider Engagement

Learn innovative techniques for risk adjustment workflows that help emphasize pre-visit chart prep and clinical suspect identification.